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Interpreter Invoice - Washington
| Interpreter Invoice Form. This is a Washington form and can be used in Interpreter Superior Court Snohomish Local County . |
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INTERPRETER INVOICE SNOHOMISH COUNTY COURTS (Revised 4/1/10) District: Everett Evergreen South Cascade Municipal Court: Edmonds SUPERIOR: Courthouse Denney Everett Lynnwood Marysville Other Interpreter Name/Agency Name: _______________________________ Language: _________________ Date of Service: _________ Address: ______________________________________ Phone: __________________________ FAX: ______________________ Washington Court Certified Yes No Washington Court Registered Yes No In-Court Qualified Yes Session AM PM No This invoice must be signed by a court clerk/official and submitted to the court on the day of service. All information must be supplied no later than forty-five (45) days following the service or this invoice will not be paid. Location Requesting Case Hearing Time Total Clerk's Signature (Division/ Half-Hour (Completed Party & Job Number Type Court) increments By court staff) (Motion, pleas, trial, # etc) Began Ended Claimant Certification: I hereby certify that under penalty of perjury that this is a true and correct claim for interpreter services provided by me on behalf of the Court and no payment have been received by me on account thereof. Signature: _______________________________________ Printed Name: _____________________________ Date: _____________ Travel Documentation: See back for form Purposes of this Form include facilitating the court's eligibility under the Washington State Administrative Office of the Courts (AOC) Interpreter Services Funding Program by: 1. Compiling data required by the AOC for interpreter services reimbursement. 2. Establishing pay rates that are in conformance with the AOC Payment Structure. The standard rate the court intends to pay from January 1, 2008 is $50/hour with a two hour minimum. STAFF USE ONLY: County job #: AOC #: Amount to pay: hours+mileage=total Approved by: American LegalNet, Inc. www.FormsWorkFlow.com Travel Payment Defined: Travel from origin to appointment, 0-15 miles, will be paid mileage. Travel from origin to appointment, 16+ miles, will be paid either mileage or time, but not both. When travel time is paid it will be at ½ the hourly rate of pay in ½ hour increments. Travel time will be paid only when traveling time is ½ hour or more. Travel is only paid from point of origin to appointment. Exception: When the interpreter's next appointment is for the district court travel will be paid between appointments. TRAVEL TIME REIMBURSEMENT: Original Address: _____________________________________________________________________________________________ Court Destination: ___________________________________________________________________________________________ Secondary Court Destination: ___________________________________________________________________________________ TRAVEL minute TOTAL MILES Driven TIME increments) (10 TIME (10 TOTAL BILLED minutes increments) Map Quest Mileage Readout attached Yes No COMMENTS:________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com
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